| NPI | 1073232997 |
|---|---|
| Doing Business As | BEACH CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TWYLA M PARDON Regional Director 714-420-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |